Organization
DR M CHENNAT & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAMMA T CHENNAT DMD (PRESIDENT)
(215) 248-5950
Entity
Organization
Contact information
Practice address
8227 STENTON AVE, PHILADELPHIA, PA 19150
(215) 248-5950
Mailing address
500 PRESTON COURT, EXTON, PA 19341
(610) 594-1870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019459L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000065268
UNITED CONCORDIA
PA
Enumeration date
02/12/2007
Last updated
07/23/2008
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